A bacterial toxin as a novel anti-cancer drug modulating the tumor-microenvironment

Lingyu Li1, Pauline Evain1, Michael Timothy Phillips1

  • 1Department of Molecular Biology, Umeå Centre for Microbial Research (UCMR), Umeå University, SE-90187, Umeå, Sweden.

Cell Death & Disease
|December 1, 2025
PubMed

Insights

MakA, a Vibrio cholerae cytotoxin, shows promise as a colorectal cancer (CRC) therapy. It effectively reduces tumor growth and enhances immune cell activity within the tumor microenvironment (TME) without systemic toxicity.

Area of Science:

  • Oncology
  • Immunology
  • Microbiology

Background:

  • Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally.
  • Current CRC treatments have significant side effects, necessitating novel therapeutic approaches.
  • The tumor microenvironment (TME) plays a critical role in CRC progression and immune evasion.

Purpose of the Study:

  • To evaluate the anticancer properties of MakA, a cytotoxin from Vibrio cholerae.
  • To investigate MakA's effects on the TME and immune cell infiltration in a CRC mouse model.
  • To assess MakA's safety and therapeutic potential for colorectal cancer.

Main Methods:

  • Systemic administration of MakA in a mouse model of colorectal cancer.
  • Analysis of tumor growth, cancer cell apoptosis, and immune cell infiltration in the TME.
  • Assessment of leukocyte recruitment, activation, and production of pro-inflammatory mediators.

Main Results:

  • MakA administration was found to be non-toxic and did not induce systemic tissue damage.
  • MakA significantly suppressed tumor growth and promoted cancer cell apoptosis.
  • MakA increased immune cell abundance, including neutrophils and macrophages, in the TME, enhancing anti-neoplastic immune responses.

Conclusions:

  • MakA demonstrates significant anticancer properties by modulating the TME immune response.
  • MakA enhances leukocyte recruitment and activation, contributing to anti-tumor effects.
  • MakA represents a potential novel, less harmful therapeutic strategy for colorectal cancer.

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